The report summarizes accomplishments of the Health Education Paraprofessionals program, which provided individual instruction in self-care and hygiene skills to 363 severely to profoundly handicapped students. Nearly all (98%) of participants mastered one or more new skills, as measured on selected strands of the Santa Cruz VORT Behavioral Characteristics Progression or the Track IV Indepth Analysis, and over 80% mastered four or more. New skills were mastered at an average rate of about one skill for every 15 days of program participation. Instruction centered on toileting, grooming, and dressing. Among recommendations identified were the need to provide as much inservice as possible early in the year and the importance of promoting carryover with parents to reinforce self-care and hygiene training. (CL)